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01-08-2020 | Stress Incontinence | Editorial

Urethral bulking agents for the treatment of female stress urinary incontinence

Authors: Maurizio Serati, Vito Mancini, Matteo Balzarro

Published in: International Urogynecology Journal | Issue 8/2020

Excerpt

In the current general scenario on the use of mesh surgery for the treatment of pelvic floor dysfunction, the role of traditional mid-urethral slings (MUS) for the treatment of female stress urinary incontinence (SUI) is highly debated [1]. However, despite the warning published in 2018 in the UK and the NICE guidelines proposed a few months ago, it is evident that placement of MUS can be considered the gold standard for the treatment of SUI [2]. MUS show a long-lasting efficacy well demonstrated also with a long-term follow-up, with a relatively low complication rate [3, 4]. In 2018, a very large original study published in JAMA using a national population-based retrospective cohort of 90,057 women from the National Health Service in England found a low sling removal rate (3.3%) and a low SUI recurrence rate (4.5%) after MUS insertion even after 9 years. …

Duckett J, Bodner-Adler B, Rachaneni S, Latthe P. Management of complications arising from the use of mesh for stress urinary incontinence-International Urogynecology Association Research and Development Committee opinion. Int Urogynecol J. 2019;30(9):1413–7. https://doi.org/10.1007/s00192-019-03935-8.CrossRefPubMed

Zacche MM, Mukhopadhyay S, Giarenis I. Changing surgical trends for female stress urinary incontinence in England. Int Urogynecol J. 2019;30(2):203–9. https://doi.org/10.1007/s00192-018-3839-4.CrossRefPubMed

Serdinšek T, But I. Long-term results of two different trans-obturator techniques for surgical treatment of women with stress and mixed urinary incontinence: a 10-year randomised controlled study follow-up. Int Urogynecol J. 2019;30(2):257–63. https://doi.org/10.1007/s00192-018-3694-3.CrossRefPubMed

Hansen MF, Lose G, Sigurdardòttir HB, Gradel KO. A Danish national population-based cohort study of synthetic midurethral slings, 2007–2011. Int Urogynecol J. 2019;30(5):733–41. https://doi.org/10.1007/s00192-018-3719-y.CrossRefPubMed

Siddiqui ZA, Abboudi H, Crawford R, Shah S. Intraurethral bulking agents for the management of female stress urinary incontinence: a systematic review. Int Urogynecol J. 2017;28(9):1275–84. https://doi.org/10.1007/s00192-017-3278-7. Review.CrossRefPubMed

Jha S, Hillard T, Monga A, Duckett J. National BSUG audit of stress urinary incontinence surgery in England. Int Urogynecol J. 2019;30(8):1337–41. https://doi.org/10.1007/s00192-018-3705-4.CrossRefPubMed

Kirchin V, Page T, Keegan PE, Atiemo KO, Cody JD, et al. Urethral injection therapy for urinary incontinence in women. Cochrane Database Syst Rev. 2017;25:7.

Capobianco G, Azzena A, Saderi L, Dessole F, Dessole S, Sotgiu G. Urolastic®, a new bulking agent for treatment of stress urinary incontinence: a systematic review and meta-analysis. Int Urogynecol J. 2018;29(9):1239–47. https://doi.org/10.1007/s00192-018-3703-6.CrossRefPubMed

Casteleijn FM, Zwolsman SE, Kowalik CR, Roovers JPWR. Patients’ perspectives on urethral bulk injection therapy and mid-urethral sling surgery for stress urinary incontinence. Int Urogynecol J. 2018;29(9):1249–57. https://doi.org/10.1007/s00192-018-3644-0.CrossRefPubMedPubMedCentral

10.

Natale F, Illiano E, Zucchi A, Balzarro M, La Penna C, Costantini E. Transobturator mid-urethral sling in females with stress urinary incontinence and detrusor underactivity: effect on voiding phase. Int Urogynecol J. 2019;30(9):1519–25. https://doi.org/10.1007/s00192-019-03871-7.CrossRefPubMed

11.

Recommendation of the International Scientific Committee: surgery for urinary incontinence in women. In: Abrams P, Cardozo L, Wagg A, Wein A, editors. 6th International Consultation on Incontinence, Health Publications, Paris, France; 2017. pp 2570–1.

12.

EAU Guidelines. Edn. presented at the EAU Annual Congress Copenhagen 2018. ISBN 978-94-92671-01-1. EAU Guidelines Office, Arnhem, The Netherlands. http://uroweb.org/guidelines/compilations-of-all-guidelines/.

Title: Urethral bulking agents for the treatment of female stress urinary incontinence
Authors: Maurizio Serati
Vito Mancini
Matteo Balzarro
Publication date: 01-08-2020
Publisher: Springer International Publishing
Keyword: Stress Incontinence
Published in: International Urogynecology Journal / Issue 8/2020
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-019-04221-3

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